Krystal Fujii, LPC, RBT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178011306 Issued in IL

Practice address

243 Holiday LN
Hainesville, IL 60073-3194

Phone

(773) 317-7483

NPI assigned

May 13, 2018

Last updated

Dec 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1821588112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HOLIDAY LN",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600733194",
            "telephone_number": "773-317-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 HOLIDAY LN",
            "city": "HAINESVILLE",
            "state": "IL",
            "postal_code": "600733194",
            "telephone_number": "773-317-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "KRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "LPC, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178011306",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "17-34258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Conner, DNP, CRNA
• Carlo Domingo, AGNP-C
• Emerson Acupuncture LLC
• Laura Figueroa, B.S.
• Carol Ann Flatley, CNA
• Hainesville Chirporactic
• Freyja Sage Hjorth, RN
• Karleen Deklein Holm
• Lakemoor Dental of Hainesville LLC
• Maksim Montatskiy DMD PC (Grayslake Endodontics)

• Counselor in Hainesville, IL
• Providers in Hainesville, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.